| NPI | 1962079046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY VANDERPOOL Owner 901-499-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |